ED Tension Rings




Gesiva Medical tension rings are designed to exert pressure on the internal blood vessels of the penis so that a minimum amount of tension is used to maintain an erection. The “U” shaped notch at the bottom of the tension ring is designed to allow for ejaculation. Because of the personal nature of this product, it cannot be returned for a refund.


  • The Medium High Tension Ring is the same size as the Medium Standard Tension Ring. However, the High Tension Ring is less elastic which means it provides a higher level of tension when compared to Standard Tension Rings.
  • The Medium Standard Tension Ring has a smaller inside diameter than our large tension rings.
  • The Large High Tension Ring is the same size as the Large Standard Tension Ring. However, the High Tension Ring is less elastic which means it provides a higher level of tension when compared to Standard Tension Rings.
  • The Large Standard Tension Ring is our largest, lowest tension ring.

Tips and Tricks for Tension Rings

How to choose the right tension ring? First, you want to use the lowest level or tension necessary to maintain your erection. Every man is different so measuring the penis will not necessarily prove a reliable indicator of the size tension ring you need. If you are new to the Gesiva Medical tension rings, you can start with a sample pack that includes one of each ring. This will allow you to try our rings to see which one is best for you. Click here to order the sample pack.

How to use the tension rings? Tension rings need to be loaded onto the cylinder of a vacuum device before you start the process of creating an erection. Once you have created the erection, the tension ring is then transferred to your erect penis. Tension rings may remain on the penis for NO MORE than 30 minutes. Warning! Leaving tension rings in place for more than 30 minutes can cause damage to your penis!

How to load the tension ring onto the cylinder? Larger tension rings can usually be loaded onto the cylinder of the vacuum device by simply stretching the rings with your hands. Be careful though, as over stretching the rings can cause them to break prematurely. Smaller tension rings typically need to be loaded onto the cylinder using a ring-loading device such as the one that comes with the Gesiva Medical Vacuum Therapy System. Click here to see that item. To use a ring-loading device, you place the cylinder on a flat, level surface and insert the ring-loading device into the smaller end of the cylinder. Lubricant is then liberally applied to the ring-loading device so that the tension ring easily slides down the ring loader and is positioned on the cylinder.

How to remove tension rings? Warning! Tension rings MAY NOT be left on the penis for more than 30 minutes. Leaving tension rings in place for more than 30 minutes may cause damage to your penis. Tension rings generally have tabs or extensions that can be pulled to reduce the tension the rings place on the penis. In most cases, pulling gently on the tabs reduces tension enough that the penis becomes flaccid again. In some cases, you may need to apply lubricant in front of the tension ring. This makes it easier to slip the tension ring off of the penis. Laying down on your back while pulling the tabs can also help make it easier to remove the tension ring.

How long do tension rings last? An average tension ring will generally last from 4-6 uses. In comparison, Gesiva Medical tension rings are made of medical grade silicone and they typically last 2 to 3 times longer than tension rings offered by our competitors. Our tension rings are also generally less expensive. If you would like to give our tension rings a try, you can order a set here. We think you will be happy!

Gesiva Medical Reviews

Viagra what? Viagra has nothing on this for performance. I have a heart condition and had to have a pacemaker. So Viagra is not an option anymore.
Shanondoia J
Gesiva is the definition of professionalism and reliability. As a medical practice, we are fortunate to have our choice of product distributors. Gesiva is the only one we trust because their products are far superior to anything else on the market, and they are highly reliable. Gesiva’s customer service is also superb as they cater to all the needs of patients and providers. I couldn’t recommend them more highly.
Jon S
Gesiva Medical is my GO TO source for vacuum erection devices that i prescribe to my patients. The personalized but private, in-home telemedical instruction and service that is provided by Gesive Medical to ensure that my patients understand how the device works is critical to the success my patients have with this form of therapy. Although there are many competing vacuum erection devices, Gesiva Medical offers a premium quality product and i have heard very good feedback from my patients to date. Gesiva Medical is an excellent therapeutic partner to my practice, always ensuring ample supply of patient information and streamlining patient access to their service from the point of my recommendation for this form of therapy to the my patient's acquisition and use of it. I give Gesiva Medical my highest recommendation.
aaron S
I recently dealt with the folks at Gesiva over a broken piece of a larger apparatus. Without hesitation, they honored my request and the warranty and said they would have the piece in the mail that same day. Now that’s customer service!! Thanks, Gesiva.
Brian A
I have nothing but great things to say about Gesiva. They have helped every time I have asked for help. I would recommend them highly! I am glad they are there for me!
John P

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